Organization
NORTHEAST ALABAMA HEALTH SERVICES, INC.
Active
Parent organization
NORTHEAST ALABAMA HEALTH SERVICES, INC.
Other names
NORTHEAST ALABAMA HEALTH SERVICES INC - FORT PAYNE
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST ALABAMA HEALTH SERVICES, INC.
Authorized official
JAMES P ALLEN JR. (CEO)
(256) 259-5313
Entity
Organization
Contact information
Practice address
3840 GAULT AVE N, FORT PAYNE, AL 35967-5211
(256) 844-4975
(256) 844-4978
Mailing address
3840 GAULT AVE N, FORT PAYNE, AL 35967-5211
(256) 844-4975
(256) 844-4978
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105198
—
AL
Enumeration date
08/26/2008
Last updated
05/28/2024
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